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Director Of Case Management Jobs

Director, Case Management Jobs
By Coventry At Fort Washington, PA, United States
Achieve required phone and transaction performance as defined by VP, Case Management.
Adhere to company policies and legal requirements regarding personal health information.
­Excellent verbal, written and interpersonal communication skills.
A competitive salary commensurate with experience.
Stay current on medical facility and life insurance carrier policies, operational process flows and compliance criteria.
Strong attention to detail, highly organized and ability to maintain accuracy under time constraints.
Case Management Coordinator - Southside Of Chicago
By CVS Health At , $19.52 - $40.10 an hour
Minimum 2 year of experience Case Management Experience
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of
Helps member actively and knowledgeably participate with their provider in healthcare decision-making.
Minimum 2 years of experience in behavioral health, social services or human services field.
Director Of Case Management
By Merakey At Warminster, PA, United States
Master's degree in Social work, Psychology, Nursing, Counseling or related field with leadership experience
2 years of supervisory experience preferred
Experience working for a non-profit organization
Manager, Transitions Of Care Case Management
By Devoted Health At , Remote $109,250 - $135,000 a year
Previous management experience 2-5 yrs
Applying expertise in TOC case management to identify opportunities for improvement
Be the “go-to” resource for case managers when they are blocked on helping a member advance their goals
Working with individuals to help them become the best case manager they can be including regular 1:1 meetings
Providing feedback on how to improve our technology to enable TOC case managers to better serve patients
A deep caring to make a change in the healthcare experience: you love to serve and make a difference
Director Of Medical Case Management - Rn
By Presbyterian Healthcare Services At , Albuquerque, 87106, Nm
Minimum 3-5 years of inpatient case management leadership experience and/or acute care nursing leadership experience.
Prior case management leadership experience (at Manager level or above) is required.
Contributes to, mentors and coaches ongoing education and professional development of case management department and acts as a resource for staff.
Maintains current knowledge of information in case management and related fields through seminars, workshops and publications.
Partners with the case management physician advisor (medical director) and fosters an effective relationship with physicians and ancillary team members.
Partners with ICS leadership, clinical directors, business office and PHP leadership to foster case management at an organizational level.
Case Management Program Director
By YMCA OF GREATER HOUSTON At , Houston, 77082, Tx $59,384 - $71,261 a year
Oversee case management services and implement a strengths-based client empowerment model.
Directly supervise quality assurance staff, program coordinator, case managers and clerks in Social Adjustment Services.
Long term disability, basic life insurance and other voluntary benefits
Ensure adherence to program manuals and grant requirements. Monitor program outcomes to ensure that programs remain in compliance.
Monitor compliance with YMCA training requirements monthly.
Follow mandated abuse and incident reporting requirements.
Director, Case Management Jobs
By Somos Your Health, LLC At , Bronx, 10463, Ny $200,000 - $250,000 a year

Position Description: T he Director of Case Management, under the direction of the Executive Director, of MSO Operations plans, organizes, implements, directs, and coordinates activities related to ...

Director Case Management Jobs
By MedTeam Staffing At Birmingham, AL, United States
This position integrates national standards for case management scope of services including:
Utilization Management supporting medical necessity and denial prevention
Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
· Participate in management of post-acute provider network.
Compliance with state and federal regulatory requirements, TJC accreditation standards and company policy
Education provided to physicians, patients, families and caregivers
Director, Case Management - Rn, Remote
By Trustmark At United States
Leads the design and implementation of the Quality Improvement plans and initiatives in Case Management
Leads relationship management with guideline vendors
Prio Supervisory experience in a remote setting preferred.
Leads the team of senior nurse manager and case managers to deliver an industry leading CM program performance.
Makes recommendations for system/process enhancement to improve the program from case managers’ perspective.
Serves as the champion for the career track, talent and skill development and professional growth of the CM team.
Director, Care Management - Case Management - Full Time, Days
By UC Irvine Health At , Orange, Ca $137,000 - $321,000 a year
Minimum of 5 years of case management and/or social work experience in a health care setting
Must demonstrate extraordinary levels of customer service and transmit these behaviors to the entire care management team
Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
In depth knowledge of relevant regulatory requirements as well as related legislative, accreditation, licensing, and compliance environments
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
CCM, ACM or Case Management credentialing
Director Case Management Jobs
By Novartis At , Phoenix, Az
Manage operations of 30-50 customer-facing team members
Oversee the selection, onboarding and train an in-house team of case managers
Collaborating with cross-functional stakeholders to continuously improve program offering
5+ years of pharmaceutical industry or related consulting experience
Comprehensive knowledge of pharma customer support needs.
Experience working in a Patient Services contact center preferred
Supervisor Of Restricted Recipient Case Management
By HealthPartners At , Remote $85,000 - $100,000 a year
Minimum of 3 years experience in case management.
Demonstrated skill in effective use and management of automated medical management systems.
Embrace change. Create an environment that encourages creativity, independence, and willingness to change in Case Management team members.
Thorough knowledge of how to access and understand member benefits / coverage / payor information.
Create and maintain a cohesive Case Management team by facilitating a collaborative, respectful, diverse environment.
Evaluate current processes to identify needs and opportunities to improve the Case Management program.
Director Of Social Work And Case Management - Full Time/Days - Msbi
By Mount Sinai At , New York, Ny $115,494 - $173,241 a year
Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers
Ground breaking science. Advancing medicine. Healing made personal.
Department of Social Work (MSBI) - Req Number: 2838708
Job Title: Director Social Work - Full Time/Days - MSBI
EOE including Veterans and Disabled
Case Management Director (Coc)
By The GEO Group, Inc. At , South Bay, Fl $59,100 a year
Ensures all Case Managers receive appropriate training for their designated responsibilities and caseload ratios are managed appropriately. Conducts staff meetings regularly.
Serves as a member of the Institutional Classification Committee (ICC). Establishes ICC dockets. Coordinates case management needs with other departments.
Reviews inmate activity plans developed by Case Managers to ensure they meet standards.
Must be knowledgeable of the Agency’s Classification Plan, applicable court orders or decrees, and ACA standards which relate to classification.
Conducts monthly audits to ensure classification department to ensure adherence to applicable department procedures. Supervises implementation of department procedures.
Performs other duties as assigned.
Senior Consultant For The Drafting Of A Case Management Costing Study (H/F)
By Expertise France At , Remote $30 an hour
Minimum 5 years of experience producing costing analysis of publishable standard
Excellent written English communication skills, with focus on research protocols, research papers and descriptive reports for diverse audience
Working knowledge of Arabic is a strong asset
Democratic, economic and financial governance;
Security and stability of countries in crisis/post-crisis situations;
Strengthening health systems, social protection and employment.

Are you an experienced leader looking to make an impact in the healthcare field? We are looking for a Director of Case Management to join our team and lead our case management program. You will be responsible for developing and implementing strategies to ensure quality care and cost-effectiveness for our patients. You will also be responsible for overseeing the daily operations of the case management department and providing guidance and support to the case management staff. If you are a motivated individual with a passion for helping others, this is the perfect opportunity for you!

Overview The Director of Case Management is responsible for the overall management of the case management department. This includes developing and implementing policies and procedures, overseeing the case management staff, and ensuring that all services are provided in a timely and efficient manner. Detailed Job Description The Director of Case Management is responsible for the overall management of the case management department. This includes developing and implementing policies and procedures, overseeing the case management staff, and ensuring that all services are provided in a timely and efficient manner. The Director of Case Management will also be responsible for developing and maintaining relationships with external providers, such as hospitals, physicians, and other healthcare providers. The Director of Case Management will also be responsible for monitoring the quality of care provided by the case management staff, and ensuring that all services are provided in accordance with applicable laws and regulations. Job Skills Required
• Excellent organizational and communication skills
• Knowledge of case management principles and practices
• Ability to manage multiple projects and tasks simultaneously
• Ability to work independently and as part of a team
• Knowledge of healthcare regulations and laws
• Ability to develop and maintain relationships with external providers
• Knowledge of computer systems and software
Job Qualifications
• Bachelor’s degree in healthcare administration, social work, or a related field
• At least 5 years of experience in case management
• Certification in case management (preferred)
• Knowledge of healthcare regulations and laws
Job Knowledge
• Knowledge of case management principles and practices
• Knowledge of healthcare regulations and laws
• Knowledge of computer systems and software
Job Experience
• At least 5 years of experience in case management
Job Responsibilities
• Develop and implement policies and procedures for the case management department
• Oversee the case management staff and ensure that all services are provided in a timely and efficient manner
• Develop and maintain relationships with external providers, such as hospitals, physicians, and other healthcare providers
• Monitor the quality of care provided by the case management staff
• Ensure that all services are provided in accordance with applicable laws and regulations